Ssm Health St. Mary'S Hospital - Centralia

LBN: St. Mary'S Hospital, Centralia, Illinois
Ssm Health St. Mary'S Hospital - Centralia is an health care organization with primary practice located at 400 N Pleasant Ave , Centralia IL 62801-3056. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. St. Mary'S Hospital, Centralia, Illinois can be contacted via phone (618) 436-8000, or through Harbison, Damon R via phone (618) 436-6205.

Contact Information

Primary practice address
400 N Pleasant Ave Centralia IL 62801-3056
Phone: (618) 436-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harbison, Damon R CFO
Phone: (618) 436-6205

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0002642 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0002642 Illinois
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0002642 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0002642 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0002642 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0002642 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X 0002642 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 0002642 Illinois

Profile Details

NPI number 1770687196
LBN Legal business name St. Mary'S Hospital, Centralia, Illinois
DBA Doing business as Ssm Health St. Mary'S Hospital - Centralia
Authorized official Harbison, Damon R CFO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770687196 NPPES
Illinois Other 35110 GROUP HEALTH PLAN
Illinois Other 6110182 GROUP HEALTH PLAN
Illinois Other 247625 GROUP HEALTH PLAN

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